NPI | 1114918950 |
---|---|
Doing Business As | YAWKEY OUTPATIENT PHARMACY |
Entity Type | Organization |
Authorized Contact | ANTHONY HOLLENBERG President 617-638-6903 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: MA 339) |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2005-11-01 |
Last Update Date | 2024-12-26 |